Dr Chanda Lynne Pilgrim, PHD is a
Psychologist based in Clarkston, Georgia. Dr Chanda Lynne Pilgrim is licensed to practice in Georgia (license number 003471) and her current practice location is
945 N Indian Creek Dr, Clarkston, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 298-9005.
NPI number for Dr Chanda Lynne Pilgrim is 1316178049 and her current mailing address is 945 N Indian Creek Dr, Clarkston, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316178049.
Healthcare Provider's Profile
| Full Name | Dr Chanda Lynne Pilgrim |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 945 N Indian Creek Dr, Clarkston, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316178049
- Provider Enumeration Date: 07/29/2009
- Last Update Date: 07/11/2012
Medical Identifiers
Medical identifiers for Dr Chanda Lynne Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316178049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 003471 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chanda Lynne Pilgrim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Chanda Lynne Pilgrim, PHD 945 N Indian Creek Dr, Clarkston, GA 30021-2221 Ph: (718) 704-6901 | Dr Chanda Lynne Pilgrim, PHD 945 N Indian Creek Dr, Clarkston, GA 30021-2221 Ph: (404) 298-9005 |
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